RT Journal Article SR Electronic T1 Autosomal Recessive Alzheimer’s disease (arAD): homozygosity mapping of genomic regions containing arAD loci JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.02.10.941393 DO 10.1101/2020.02.10.941393 A1 Sonia Moreno-Grau A1 Maria Victoria Fernández A1 Itziar de Rojas A1 Isabel Hernández A1 Fabiana Farias A1 John P Budde A1 Inés Quintela A1 Laura Madrid A1 Antonio González-Perez A1 Laura Montrreal A1 Pablo Garcia-Gonzalez A1 Emilio Alarcón-Martín A1 Montserrat Alegret A1 Olalla Maroñas A1 Juan Antonio Pineda A1 Juan Macías A1 GR@ACE & DEGESCO consortia A1 Alzheimer’s Disease Neuroimaging Initiative A1 Marta Marquié A1 Sergi Valero A1 Alba Benaque A1 Jordi Clarimón A1 Maria Jesus Bullido A1 Guillermo García-Ribas A1 Pau Pástor A1 Pascual Sánchez-Juan A1 Victoria Álvarez A1 Gerard Piñol-Ripoll A1 Jose María García-Alberca A1 José Luis Royo A1 Emilio Franco-Macías A1 Pablo Mir A1 Miguel Calero A1 Miguel Medina A1 Alberto Rábano A1 Jesús Ávila A1 Carmen Antúnez A1 Luis Miguel Real A1 Adelina Orellana A1 Ángel Carracedo A1 María Eugenia Sáez A1 Lluis Tárraga A1 Mercè Boada A1 Carlos Cruchaga A1 Agustín Ruiz YR 2020 UL http://biorxiv.org/content/early/2020/02/11/2020.02.10.941393.abstract AB Long runs of homozygosity (ROH) are contiguous stretches of homozygous genotypes, which are a footprint of recent inbreeding and recessive inheritance. The presence of recessive loci is suggested for Alzheimer’s disease (AD). However, the search for recessive variants has been poorly assessed to date. To investigate homozygosity in AD, we performed a fine-scale ROH analysis including 21,100 individuals from 10 cohorts of European ancestry (11,919 AD cases and 9,181 controls). We detected an increase of homozygosity in AD cases compared to controls [βFROH (CI95%) = 0.051 (0.023 – 0.078); P = 3.25 x 10-4]. ROHs increasing the risk of AD (OR > 1) were significantly overrepresented compared to ROHs increasing protection (p < 2.20 x 10-16). The top associated ROH with AD risk (β (CI95%) = 1.09 (0.48 ‒ 1.48), p value = 9.03 x 10-4) was detected upstream the HS3ST1 locus (chr4:11,189,482‒11,305,456), previously related to AD. Next, to construct a homozygosity map of AD cases, we selected ROHs shared by inbred AD cases extracted from an outbred population. We used whole-exome sequencing data from 1,449 individuals from the Knight-ADRC-NIA-LOAD (KANL) cohort to identify potential recessive variants in candidate ROHs. We detected a candidate marker, rs117458494, mapped in the SPON1 locus, which has been previously associated with amyloid metabolism. Here, we provide a research framework to look for recessive variants in AD using outbred populations. Our results showed that AD cases have enriched homozygosity, suggesting that recessive effects may explain a proportion of AD heritability.